Provider Demographics
NPI:1639429814
Name:CROMER ENTERPRISES, LLC
Entity Type:Organization
Organization Name:CROMER ENTERPRISES, LLC
Other - Org Name:CROMER AND CAIRNS DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CROMER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:772-562-5051
Mailing Address - Street 1:1225 US HIGHWAY 1 UNIT 3
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-4705
Mailing Address - Country:US
Mailing Address - Phone:772-562-5051
Mailing Address - Fax:
Practice Address - Street 1:1225 US HIGHWAY 1 UNIT 3
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-4705
Practice Address - Country:US
Practice Address - Phone:772-562-5051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-14
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty